Kelly Patricia Agnew, PA-C
Physician Assistant, Medical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1619169281
StatusActive
Last updated in NPPESNov 7, 2016
Details
- NPI
- 1619169281
- Entity type
- Individual (NPI-1)
- Name
- Kelly Patricia Agnew
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2007
- Last updated
- Nov 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA052347 | PA | Yes |
Practice location
51 N 39th StPhiladelphia, PA 19104-2640
Phone 215-662-8000
Mailing address
51 North 39th StreetMob Suite 300
Philadelphia, PA 19104-2640
Phone 215-662-8699
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